我院静脉用药调配中心差错分析及防范

Analysis of Errors in Pharmacy Intravenous Admixture Service of Our Hospital and Preventive Measures

本文收集了北京友谊医院静脉用药调配中心2011年1至6月期间出现的各类差错,并对此进行分析,其中内差错发生率为1.44‰,出门差错发生率为0.105‰,主要发生在调剂、配置和成品输液核对等多个环节,针对这些问题提出了具体防范措施,以减少PIVAS差错,保障患者用药安全。

The article collected various errors in PIVAS of Beijing Friendship Hospital from January 2011 to June 2011, and analyzed the occurrence of the errors according to drug package inserts, Chinese Phamlacopoeia, Clinical Medication Information, Pharmaceutical incompatibility in intravenous infusion and clinical drug consulting system. The external ratio of errors in PIVAS was 0.105%0, and the internal ratio of errors was 1.44%o. The errors occurred mainly were errors of making up prescriptions, dispensing errors and errors of checking finished products. Meanwhile, PIVAS adopted the targeted preventive measures according to the reasons and to cut down the mistakes in order to guarantee safe drug of patients.